Royal Marsden Hospital NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Royal Marsden Hospital NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Radiography (Lond). 2022 Aug;28(3):857-864. doi: 10.1016/j.radi.2022.04.001. Epub 2022 Apr 26.
Repeated exposure to challenging or traumatic situations can lead to a phenomenon called compassion fatigue (CF). This can present as increased stress and anxiety in staff and a reduced patient relationship. If untreated it can lead to sickness and attrition from the profession. This systematic review aims to investigate the evidence of stressors leading to CF in diagnostic radiographers.
A review protocol was developed and registered on PROSPERO. Database and grey literature searches were carried out. Studies were selected against pre-defined inclusion and exclusion criteria for review. No meta-analysis was possible therefore the data were presented as a narrative.
Fifteen studies were selected for review published between 1982 and 2020. Evidence demonstrates that diagnostic radiographers suffer from high levels of occupational stress, however, stress is perceived rather than defined. Common causes of occupational stress were identified as poor patient interactions and a lack of time to spend with patients. There is a lack of evidence to show how this stress affects radiographer health or their ability to provide compassionate care.
Diagnostic radiographers are prone to suffering from symptoms that can be attributed to CF. This has been present for an extended period, and the main changes have been a decrease in job satisfaction and accomplishment. Patient interaction was identified as a cause, but it is unclear if this affects staff ability to be compassionate. Further work is required to find ways to mitigate these effects and prevent continued deterioration.
This review has highlighted that the issue of CF may be getting worse for some radiographers and that work is required to design and implement workable interventions to try and mitigate these issues.
反复暴露于具有挑战性或创伤性的情境中可能会导致一种称为同情疲劳（CF）的现象。这可能会导致员工的压力和焦虑增加，以及患者关系的恶化。如果不加治疗，它可能会导致疾病和职业倦怠。本系统评价旨在调查导致诊断放射技师 CF 的压力源的证据。
制定了审查方案，并在 PROSPERO 上进行了注册。进行了数据库和灰色文献搜索。根据预先定义的纳入和排除标准选择研究进行综述。由于无法进行荟萃分析，因此数据以叙述形式呈现。
共选择了 15 项发表于 1982 年至 2020 年之间的研究进行综述。有证据表明，诊断放射技师承受着高水平的职业压力，但压力是被感知到的，而不是被定义的。职业压力的常见原因包括与患者互动不佳和缺乏与患者相处的时间。缺乏证据表明这种压力如何影响放射技师的健康或他们提供同情护理的能力。
诊断放射技师容易出现可归因于 CF 的症状。这种情况已经存在了很长一段时间，主要的变化是工作满意度和成就感下降。患者互动被认为是一个原因，但尚不清楚这是否会影响员工的同情心。需要进一步的工作来寻找减轻这些影响并防止其持续恶化的方法。
本次综述强调，一些放射技师的 CF 问题可能正在恶化，需要设计和实施可行的干预措施来尝试减轻这些问题。
